By Carlos Rotellar
A quick, transparent, useful, and funny method of acute renal insufficiency.
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Extra resources for Acute renal insufficiency made ridiculously simple
The preganglionic neurons for the bladder, prostate, uterus, penis, and scrotum end in the inferior hypogastric (pelvic) plexus, synapsing there with postganglionic neurons that innervate these organs. Three or four lumbar splanchnic nerves come from the ganglia at L1, L2, L3, and L4 that lie in the extraperitoneal connective tissue over the vertebral bodies in the groove formed by the psoas major. The 1st lumbar splanchnic nerve arises from the first lumbar paravertebral ganglion and runs to the renal and celiac plexuses.
4-13A. They include the lateral cutaneous rami of the 7th to 12th intercostal nerves, which supply the lateral side of the thorax to a level below the 12th rib, and the anterior rami, which supply a smaller strip over the rectus. The iliohypogastric nerve divides as it passes between the transversus abdominis and the internal oblique into a lateral cutaneous ramus that supplies the gluteal region and an anterior cutaneous ramus going to the abdominal surface above the pubis. The ilioinguinal nerve supplies the skin of the upper thigh, the skin about the base of the penis, and the upper part of the scrotum.
It passes as a preganglionic fiber through the ventral root of the spinal nerve and then through the white ramus (as myelinated fibers) to reach the corresponding paravertebral ganglion along the 31 CHAPTER 4 n PERIPHERAL NERVOUS SYSTEM Paravertebral ganglion Nuclei of Schwann cells Sympathetic trunk Ganglion cells FIGURE 4-8. This image illustrates the junction between a sympathetic nerve trunk, at right, and a paravertebral ganglion, at left, which is an aggregation of neurons (ganglion cells) outside the central nervous system.
Acute renal insufficiency made ridiculously simple by Carlos Rotellar